Individual
TAYLOR BRUTLAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
14000 FAIRVIEW DR, BURNSVILLE, MN 55337-5713
(952) 993-8700
Mailing address
2917 PRINCETON AVE, MINNEAPOLIS, MN 55416-1956
(612) 819-1152
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105218
MN
Other
Enumeration date
09/06/2016
Last updated
10/13/2017
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